化痰通腑法治疗217例中风中脏腑痰热腑实证的回顾性研究
发布时间：2018-11-16 17:47
【摘要】：目的:通过化痰通腑法对中风中脏腑痰热腑实证患者意识障碍、神经功能缺损及相关证候影响的分析,研究痰热腑实证及化痰通腑法在中风病病势转归中的作用。方法:检索东直门医院信息中心1975年至2005年中风病案号从病案室获取原始病案,严格遵照中风病和痰热腑实证的诊断标准及本研究的纳入和排除标准,遵循双人双录交叉核对原则,将纸质病案转化为结构化电子数据,运用频次统计和t检验分析通腑前后患者在意识状态、神经功能缺损及火热证、痰证的改变情况。结果:共得到中风中脏腑痰热腑实病案217例72.81%的患者,其证候在发病72 h内出现,化痰通腑法可使83.41%的患者腑气通畅,58.5%的患者神志转清,同时促进了意识恢复的速度,缩短了意识障碍持续时间,降低了火热证、痰证程度,促使神经功能恢复。结论:痰热腑实证出现与中风病严重程度相关,化痰通腑法促使腑气通畅、降浊解毒,减轻痰热、痰火证的同时,对改善中风病意识及神经功能缺损的病情有积极作用。腑气通畅在中风病中占据重要地位,痰热腑实证及化痰通腑使腑气通畅对中风病预后转归有重要作用,提示中风病发生发展过程中脑与肠存在密切关联。
[Abstract]:Objective: to study the effect of phlegm-heat therapy and phlegm-clearing method on syndrome of apoplexy by analyzing the influence of phlegm-heat and phlegm-clearing method on the disturbance of consciousness, nerve function defect and related syndromes in patients with syndrome of zang-fu phlegm and heat in apoplexy. Methods: the original medical records were obtained from the medical records room of Dongzhimen Hospital Information Center from 1975 to 2005. The diagnostic criteria of apoplexy and phlegm heat were strictly followed and the inclusion and exclusion criteria of this study were followed strictly. According to the principle of double record cross check, the paper medical records were converted into structured electronic data. Frequency statistics and t test were used to analyze the changes of the patients' consciousness state, nerve function defect, fire and heat syndrome and phlegm syndrome. Results: a total of 217 cases (72.81%) were found in the history of zang-fu phlegm-heat and fu-fu consolidation in apoplexy. The syndrome appeared within 72 hours after the onset of stroke, 83.41% of the patients were free of fu-qi, 58.5% of the patients had clear mind, and 83.41% of the patients had the ability to clear the fu-qi, 58.5% of the patients had clear mind. At the same time, it promotes the speed of consciousness recovery, shortens the duration of consciousness obstacle, reduces the degree of heat syndrome and phlegm syndrome, and promotes the recovery of nerve function. Conclusion: the occurrence of phlegm-heat and fu-organ syndrome is related to the severity of apoplexy. The method of resolving phlegm and clearing fu-organs can promote the unobstructing of fu-qi, reduce turbidity and detoxify, alleviate phlegm heat and phlegm fire syndrome, and have a positive effect on improving the condition of apoplectic consciousness and neurological function defect at the same time. The evidence of phlegm and heat and removing phlegm and regulating fu-qi play an important role in prognosis of apoplexy, suggesting that there is a close relationship between brain and intestine in the process of occurrence and development of apoplexy.
【作者单位】： 北京中医药大学东直门医院;中国中医科学院广安门医院;
【基金】：国家自然科学基金资助项目(81273693)
【分类号】：R255.2
[Abstract]:Objective: to study the effect of phlegm-heat therapy and phlegm-clearing method on syndrome of apoplexy by analyzing the influence of phlegm-heat and phlegm-clearing method on the disturbance of consciousness, nerve function defect and related syndromes in patients with syndrome of zang-fu phlegm and heat in apoplexy. Methods: the original medical records were obtained from the medical records room of Dongzhimen Hospital Information Center from 1975 to 2005. The diagnostic criteria of apoplexy and phlegm heat were strictly followed and the inclusion and exclusion criteria of this study were followed strictly. According to the principle of double record cross check, the paper medical records were converted into structured electronic data. Frequency statistics and t test were used to analyze the changes of the patients' consciousness state, nerve function defect, fire and heat syndrome and phlegm syndrome. Results: a total of 217 cases (72.81%) were found in the history of zang-fu phlegm-heat and fu-fu consolidation in apoplexy. The syndrome appeared within 72 hours after the onset of stroke, 83.41% of the patients were free of fu-qi, 58.5% of the patients had clear mind, and 83.41% of the patients had the ability to clear the fu-qi, 58.5% of the patients had clear mind. At the same time, it promotes the speed of consciousness recovery, shortens the duration of consciousness obstacle, reduces the degree of heat syndrome and phlegm syndrome, and promotes the recovery of nerve function. Conclusion: the occurrence of phlegm-heat and fu-organ syndrome is related to the severity of apoplexy. The method of resolving phlegm and clearing fu-organs can promote the unobstructing of fu-qi, reduce turbidity and detoxify, alleviate phlegm heat and phlegm fire syndrome, and have a positive effect on improving the condition of apoplectic consciousness and neurological function defect at the same time. The evidence of phlegm and heat and removing phlegm and regulating fu-qi play an important role in prognosis of apoplexy, suggesting that there is a close relationship between brain and intestine in the process of occurrence and development of apoplexy.
【作者单位】： 北京中医药大学东直门医院;中国中医科学院广安门医院;
【基金】：国家自然科学基金资助项目(81273693)
【分类号】：R255.2
【参考文献】
相关期刊论文 前6条
1 王双玲;孟繁兴;陈志刚;;缺血性中风病急性期胃动素变化的研究[J];中国民间疗法;2013年03期
2 谢颖桢;邹忆怀;孙立满;;运用化痰通腑法治疗中风病的体会[J];中国中医基础医学杂志;2010年03期
3 谢颖桢;任晋婷;王振W，
本文编号：2336200
本文链接：https://www.wllwen.com/zhongyixuelunwen/2336200.html
最近更新
教材专著
